NPI | 1144392044 |
---|---|
Former Name | MIRIAM J WITMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002861) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052816) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2025-09-04 |