| 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 |