NPI | 1811260664 |
---|---|
Former Name | RIVKAH FISCHWEICHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108556) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015337) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2024-07-10 |