| NPI | 1235161423 |
|---|---|
| Former Name | MICHELLE ELENA BLUMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00093500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MP0093500) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-02-09 |