| NPI | 1639148703 |
|---|---|
| Former Name | MICHELLE DIANA ELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D85603) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301109336) |
| 208600000X Surgery (Licence: FL ME93526) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-09-16 |