| NPI | 1972124956 |
|---|---|
| Former Name | MICHAELA JANE MALISZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15491) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 100503) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-12-27 |