| NPI | 1417106519 |
|---|---|
| Former Name | MICHELENE J METZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003681) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2339-023) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2019-08-28 |