NPI | 1861025314 |
---|---|
Former Name | MICHELLE TSUI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5092) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-07-06 |