NPI | 1558811307 |
---|---|
Former Name | ARIELLE RICHHEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020395) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2016-10-05 |
Last Update Date | 2021-11-24 |