NPI | 1730477316 |
---|---|
Former Name | EMILY JASTER FEITEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116339) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9116339) |
363AM0700X Physician Assistant, Medical (Licence: CO 3247) | |
Enumeration Date | 2011-07-15 |
Last Update Date | 2023-07-06 |