NPI | 1114963022 |
---|---|
Former Name | DEANNA M OSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA7360) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00511) |
363AM0700X Physician Assistant, Medical (Licence: RI PA00511) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2024-04-04 |