NPI | 1508047887 |
---|---|
Former Name | BROOKE D PLAGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01244) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19460) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2013-01-23 |