| NPI | 1518799303 |
|---|---|
| Former Name | MICHELLE MARIE ANTHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119427) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9119427) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9119427) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-11-04 |