NPI | 1164484747 |
---|---|
Former Name | REBECCA A KAMPERSCHROER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1602-023) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2024-09-17 |