NPI | 1790025245 |
---|---|
Former Name | ANNA ELISE SCHLICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 2394) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-04069) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2021-01-28 |