| NPI | 1477859577 |
|---|---|
| Former Name | MICHELLE CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059532) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 23007) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2018-03-17 |