NPI | 1821555384 |
---|---|
Former Name | AMBER CHRISTINE KOBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001010214) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2021-05-12 |