| NPI | 1467972141 |
|---|---|
| Former Name | MICHELLE ANN GUZINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12182) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL4871) |
| 207Q00000X Family Medicine (Licence: NC pending) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-04-14 |