NPI | 1891083408 |
---|---|
Former Name | MARIEL P HELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA51432) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5908) |
363AM0700X Physician Assistant, Medical (Licence: CA PA51432) | |
Enumeration Date | 2011-07-17 |
Last Update Date | 2014-09-30 |