NPI | 1225430440 |
---|---|
Former Name | CHRISTINA NOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004512) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057155) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2021-08-18 |