NPI | 1760839856 |
---|---|
Professional Name | MICHELLE DELLENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9109777) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109777) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2024-07-26 |