NPI | 1831492743 |
---|---|
Former Name | MICHELLE M PILKINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 01516) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 659) |
363A00000X Physician Assistant (Licence: WV 659) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WV 659) | |
Enumeration Date | 2010-12-15 |
Last Update Date | 2021-02-16 |