NPI | 1568908960 |
---|---|
Former Name | COURTNEY LYNN DISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008757) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-01-10 |
Last Update Date | 2021-07-08 |