| NPI | 1538203476 |
|---|---|
| Former Name | MICHELLE A BULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1204) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001911) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-05-01 |