NPI | 1790754950 |
---|---|
Former Name | ASHELA J SCHAUMBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9627) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001256) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2018-03-17 |