| NPI | 1144570284 |
|---|---|
| Former Name | MICHELLE PEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004507) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085004507) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2026-03-23 |