| NPI | 1821148495 |
|---|---|
| Former Name | MICHELLE L ABBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010240) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 10240) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-07-05 |