NPI | 1205858719 |
---|---|
Former Name | PETRINE HINRICHSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA3368) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL ME0044395) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2019-10-08 |