NPI | 1083080295 |
---|---|
Former Name | HANNAH L BAER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007149) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2537) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2024-07-16 |