| 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 |