| NPI | 1528438280 |
|---|---|
| Former Name | MICHELLE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 132862) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WA PA60583630) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2025-06-12 |