NPI | 1003868175 |
---|---|
Other Name | MOLLIE N HERZBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004448) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004448) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-05-18 |