| NPI | 1861897688 |
|---|---|
| Former Name | MICHELLE JEAN GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005268A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28091767A) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-10-23 |