| NPI | 1952659104 |
|---|---|
| Former Name | MICHALENA GROSSHANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018419) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363A00000X Physician Assistant (Licence: NY 18419) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2023-06-29 |