| NPI | 1336458769 |
|---|---|
| Former Name | MICHELLE ANN PAPINEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5211) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: MA P7785) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2022-10-27 |