| NPI | 1902220742 |
|---|---|
| Former Name | MICHELLE ROSALIE DEPAOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01410) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107804) |
| 363A00000X Physician Assistant (Licence: NC 0010-07837) | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2023-08-02 |