NPI | 1578621157 |
---|---|
Former Name | JACQUELINE FRANCIS SCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006278RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16968) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2021-01-19 |