NPI | 1619249539 |
---|---|
Former Name | JULIE ANN MI CHA BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA55138) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007794) |
363A00000X Physician Assistant (Licence: TX PA09150) | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2012-02-08 |
Last Update Date | 2023-11-28 |