NPI | 1386072627 |
---|---|
Former Name | CHLOE A PIERRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056169) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA056169) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2020-10-08 |