| NPI | 1538672068 |
|---|---|
| Former Name | MICHELLE JACLYN GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55439) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-12-21 |