NPI | 1003096934 |
---|---|
Former Name | JOANNA BETH BERNSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 001000939) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-11-08 |
Last Update Date | 2015-06-03 |