NPI | 1427618727 |
---|---|
Former Name | MICHELLE MCNEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7369) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-06-18 |
Last Update Date | 2025-07-30 |