NPI | 1811370323 |
---|---|
Former Name | KARI J BACHMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4843) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005475) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2021-01-19 |