| NPI | 1235113994 |
|---|---|
| Former Name | MICHELINE I SAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA2939) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-03-07 |