| NPI | 1104222389 |
|---|---|
| Former Name | MICHELLE GALAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61223) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7127-23) |
| 363A00000X Physician Assistant (Licence: MN 14274) | |
| 363A00000X Physician Assistant (Licence: AZ 9066) | |
| 363A00000X Physician Assistant (Licence: VA 110011233) | |
| 363A00000X Physician Assistant (Licence: NY 028857) | |
| 363A00000X Physician Assistant (Licence: IL 085.005259) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2025-09-11 |