NPI | 1114789948 |
---|---|
Former Name | HANNAH G. OSCARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 3030) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 124166) |
Enumeration Date | 2024-01-26 |
Last Update Date | 2024-11-15 |