| NPI | 1679783856 |
|---|---|
| Former Name | MICHELLE NEUHALFEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05939) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402203987) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-01-19 |