NPI | 1427240100 |
---|---|
Former Name | EUGENIA CASE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114402) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00169300) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2024-04-04 |