| NPI | 1366469074 |
|---|---|
| Former Name | APRIL THEISEN BAUMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA198758) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51464) |
| 363A00000X Physician Assistant (Licence: OR PA10004813) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-05-12 |