| NPI | 1972843886 |
|---|---|
| Former Name | MICHELLE PROFFITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170703) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007458) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2025-08-04 |