| NPI | 1922203447 |
|---|---|
| Former Name | MICHELLE LYNN FEITL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 011836) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052063) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-02-15 |