| NPI | 1225283088 |
|---|---|
| Former Name | MICHELLE SIMANCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05697) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030556) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2016-05-03 |