NPI | 1902869605 |
---|---|
Former Name | MICHELLE ANGELIQUE JAWORSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35-093179) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35-093179) |
207QS0010X Family Medicine, Sports Medicine (Licence: OH 35-093179) | |
207Q00000X Family Medicine (Licence: OH 35093179) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2014-04-11 |