NPI | 1477850311 |
---|---|
Former Name | MICHELE RENEE GEHRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4265) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2112) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2021-02-19 |