| NPI | 1396378188 |
|---|---|
| Former Name | MICHAELA ELIZABETH BRETEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02778) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003387A) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-08-13 |