| NPI | 1023539673 |
|---|---|
| Former Name | MICHAELA MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57850) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06533) |
| 363A00000X Physician Assistant (Licence: IA 092911) | |
| 363A00000X Physician Assistant (Licence: NE 2261) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-08-13 |