NPI | 1265401038 |
---|---|
Former Name | MICHELLE ERWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA929) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA929) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2024-08-20 |