NPI | 1700826757 |
---|---|
Former Name | JULIE ANNA SICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056144) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA pa16292) |
363AM0700X Physician Assistant, Medical (Licence: PA MA056144) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2021-01-27 |