NPI | 1144886219 |
---|---|
Former Name | ABBEY SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60905222) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical (Licence: WA PA60905222) | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-07-12 |