NPI | 1760796494 |
---|---|
Former Name | EMILEE SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1843) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006120) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2018-09-11 |