NPI | 1851732457 |
---|---|
Former Name | BENTE E HARTWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3152) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50004051) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2018-07-24 |