NPI | 1497942395 |
---|---|
Former Name | BROOKE M. MECHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002439) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2015-10-15 |