NPI | 1174047591 |
---|---|
Former Name | CARLIE M STRATMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5218) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-07-27 |
Last Update Date | 2023-01-06 |