NPI | 1871743393 |
---|---|
Former Name | HEIKE AHLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23045) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2008-0053) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2016-01-10 |