| 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 |