NPI | 1144231549 |
---|---|
Former Name | ADRIANA HEINRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8166) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50001423) |
363AM0700X Physician Assistant, Medical (Licence: MI 5601005488) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-05-19 |