NPI | 1568891406 |
---|---|
Former Name | REBECCA NICOLE EICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY 1112645) |
Additional Taxonomies | 174400000X Specialist (Licence: KY PA1833) |
207Y00000X Otolaryngology (Licence: KY PA1833) | |
Enumeration Date | 2013-11-01 |
Last Update Date | 2022-11-15 |