NPI | 1225488067 |
---|---|
Former Name | JULIE PERLEBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006924RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002028A) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2021-04-05 |