NPI | 1184949471 |
---|---|
Former Name | HEATHER ROSE SCRIBNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IA 002079) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002079) |
Enumeration Date | 2010-03-30 |
Last Update Date | 2023-03-07 |