| NPI | 1962445080 |
|---|---|
| Former Name | AUTUMN NICOLE TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004117) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-02-21 |