NPI | 1629533310 |
---|---|
Former Name | MICHELLE LADANYI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2454) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY TC798) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2024-09-12 |