| NPI | 1285256677 |
|---|---|
| Former Name | PAIGE KOERPERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5078) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2022-08-12 |