NPI | 1831199587 |
---|---|
Former Name | DAWN CARROLL GERCHAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085000381) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000242A) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2019-08-01 |