NPI | 1265843916 |
---|---|
Former Name | NATALIE SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003288) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00331600) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2019-08-07 |