| NPI | 1336659457 |
|---|---|
| Former Name | NOELLE LOUISE BRICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA059352) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059352) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2022-03-29 |