| NPI | 1083046502 |
|---|---|
| Former Name | MICHELLE PAULINE BRODASKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS12513) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-03-18 |