| 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 |