NPI | 1295263267 |
---|---|
Former Name | ABIGAIL ELIZABETH WEISBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005134RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 50.000) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2021-08-27 |