NPI | 1407810914 |
---|---|
Former Name | MICHELLE G EUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00299) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9103554) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2024-04-28 |