NPI | 1740621838 |
---|---|
Former Name | TAMAR MICHELLE HEMME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00492300) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23022) |
363AM0700X Physician Assistant, Medical (Licence: PA MA060105) | |
Enumeration Date | 2013-07-17 |
Last Update Date | 2023-10-07 |