| NPI | 1457723488 |
|---|---|
| Former Name | MICHELLE LYNN MEROLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12997) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005127) |
| 363A00000X Physician Assistant (Licence: DC PA031196) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2023-01-26 |