NPI | 1285700807 |
---|---|
Former Name | HEATHER ANN GERSBACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053963) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006869) |
363AS0400X Physician Assistant, Surgical (Licence: NY 006869) | |
363A00000X Physician Assistant (Licence: PA MA053963) | |
363AS0400X Physician Assistant, Surgical (Licence: PA MA053963) | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2016-07-14 |