NPI | 1730498049 |
---|---|
Former Name | ALICIA SCHUMAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00270700) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054606) |
363AM0700X Physician Assistant, Medical (Licence: NY 014246) | |
Enumeration Date | 2010-10-04 |
Last Update Date | 2024-10-07 |