NPI | 1821474271 |
---|---|
Former Name | HANNAH ROSE SCHWABE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 24882) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005588) |
Enumeration Date | 2015-08-08 |
Last Update Date | 2023-09-08 |