NPI | 1225199631 |
---|---|
Former Name | CLAIRE L ROSCHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MD C0005362) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: DC PA030358) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2019-02-04 |