NPI | 1669455242 |
---|---|
Former Name | MICHELE M MCNAUGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9371) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 9371) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2022-03-22 |