NPI | 1528152972 |
---|---|
Former Name | COLLEEN MARY STREMPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 7740-1) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 7740-1) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |