NPI | 1376159707 |
---|---|
Former Name | EMMA JANE ROHRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2461) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2023-02-27 |