| NPI | 1699951152 |
|---|---|
| Former Name | MICHELLE LOUISE VOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: VA 0110005402) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60102427) |
| 363AS0400X Physician Assistant Surgical (Licence: AZ 4271) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2021-08-02 |