NPI | 1699199018 |
---|---|
Former Name | MICHELLE MARIE COLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184598) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9283895) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2021-07-21 |