NPI | 1588006944 |
---|---|
Former Name | ALICE L FEHLANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5811-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004764) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2022-07-28 |