NPI | 1699868943 |
---|---|
Former Name | MICHELLE S STRATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 54760) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 058340) |
Enumeration Date | 2006-10-01 |
Last Update Date | 2016-09-23 |