NPI | 1669993945 |
---|---|
Former Name | SKYLAR ARIEL FRISCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6502) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-27 |
Last Update Date | 2022-09-19 |