| NPI | 1639148703 |
|---|---|
| Former Name | MICHELLE DIANA EIMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 109420) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: GA 109420) |
| 208600000X Surgery (Licence: FL ME93526) | |
| 208600000X Surgery (Licence: MI 4301109336) | |
| 208600000X Surgery (Licence: MD D0085603) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-11-11 |