| 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 |