NPI | 1316464563 |
---|---|
Former Name | JONNA SCHAPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 021278) |
363AM0700X Physician Assistant, Medical (Licence: NY 21278) | |
Enumeration Date | 2017-08-28 |
Last Update Date | 2023-06-29 |