NPI | 1346241387 |
---|---|
Former Name | GRETCHEN LOUISE FINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA003028L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MC1121754) |
Enumeration Date | 2005-08-01 |
Last Update Date | 2025-04-01 |