NPI | 1952454563 |
---|---|
Former Name | MICHELLE DYAN VORCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112862) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9112862) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2023-04-25 |