| NPI | 1902233471 |
|---|---|
| Former Name | TRISHA RAE MANION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006745) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2017-06-20 |