NPI | 1437688868 |
---|---|
Former Name | ECHO L BARTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1441) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2134) |
363A00000X Physician Assistant | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-06-13 |