| NPI | 1427570514 |
|---|---|
| Other Name | MICHALENE MARIE AUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA15945) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059131) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-02-21 |