| NPI | 1164684114 |
|---|---|
| Former Name | MICHELLE L. SCHROEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2290) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2290-023) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-03-03 |