NPI | 1184101172 |
---|---|
Former Name | JOELLEN PILCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 022580) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2022-11-19 |