| NPI | 1083621452 |
|---|---|
| Former Name | MICHELE TINGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002124) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2004005137) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-06-24 |