NPI | 1750518171 |
---|---|
Former Name | MICHELLE M. BOROVITCKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002799) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2009-06-11 |
Last Update Date | 2015-07-07 |