NPI | 1376559401 |
---|---|
Former Name | AMBER L HAAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002729A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004330A) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2019-07-16 |