NPI | 1669841862 |
---|---|
Former Name | MICHELLE CARROLL GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128991) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP128991) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2019-05-21 |