| NPI | 1588121966 |
|---|---|
| Former Name | MICHELLE B GEFFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA193113) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2022-10-04 |