NPI | 1023386356 |
---|---|
Former Name | KATE EISCHEID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 078423) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01165) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2022-01-18 |