| NPI | 1437591823 |
|---|---|
| Former Name | CHRISTINE FEHRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X (Licence: NM PA2014-0008) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004311) |
| 363A00000X Physician Assistant (Licence: NM PA2014-0008) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NM PA2014-0008) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2024-05-01 |