| NPI | 1770995508 |
|---|---|
| Former Name | MICHELLE MARTINE CLARKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.15910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.15910) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-02-05 |