NPI | 1164855680 |
---|---|
Former Name | AMBER NICOLE RICHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09700) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 23164) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2024-05-06 |