NPI | 1093276735 |
---|---|
Former Name | CAROLINE SCHIEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008924) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0110008924) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-10-09 |