NPI | 1043932593 |
---|---|
Former Name | NATALIE ANN HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12659) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-07-20 |