NPI | 1396717823 |
---|---|
Former Name | DOTTIE E SCHENK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1504) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9819) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-01-15 |