NPI | 1942586292 |
---|---|
Former Name | MICHELLE GRAEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA4550) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004561) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2021-01-22 |