NPI | 1720322522 |
---|---|
Former Name | VALERIE B ZANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY PA611) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3037) |
Enumeration Date | 2012-11-16 |
Last Update Date | 2022-03-14 |