| NPI | 1831204676 |
|---|---|
| Former Name | MERCEDES ANNA ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA2292) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001000495) |
| 363A00000X Physician Assistant (Licence: PA MA054212) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-11-23 |