| NPI | 1821624461 |
|---|---|
| Former Name | MICHELLE NICOLE MARCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 71009882A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009882A) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2025-05-24 |