| NPI | 1194977348 |
|---|---|
| Former Name | ALISHA KRISTEN NICOLE MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0004583) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104765) |
| 363AM0700X Physician Assistant Medical (Licence: CO PA0004583) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-08-02 |