| 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 |