| NPI | 1326568668 |
|---|---|
| Former Name | ADELE MICHIKO ROCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13038) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-10-03 |