| NPI | 1770205023 |
|---|---|
| Former Name | MICHAELA RAE KUEFFLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY PT1051) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-09-22 |