| NPI | 1881862928 |
|---|---|
| Former Name | RUTH BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C04471) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: RI PA00452) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2016-01-11 |