NPI | 1316278963 |
---|---|
Former Name | JESSICA LYN STARCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 008478-1) |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NY 207665) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2023-07-31 |