| NPI | 1427619998 |
|---|---|
| Former Name | MICHAELA MERRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 83668-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-2024) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-07-31 |