| NPI | 1497312300 |
|---|---|
| Former Name | ANGELA J OBERMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4799) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011012) |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2023-11-29 |