NPI | 1053325126 |
---|---|
Former Name | COURTNEY A. KUEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 1583) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1583) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-03-17 |