| NPI | 1417504499 |
|---|---|
| Former Name | MICHELLE DIANE SKEIRIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007128) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085007128) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-01-05 |