NPI | 1831672674 |
---|---|
Former Name | CHRISTINE ELIZABETH ALBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006724) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-006724) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2024-04-12 |