NPI | 1891448262 |
---|---|
Former Name | BROOKE D RITSCHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA063440) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-01-27 |
Last Update Date | 2023-05-05 |