NPI | 1306488358 |
---|---|
Former Name | CARAH RENE OCHS FARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002827A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 10002827A) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2024-03-13 |