NPI | 1891803250 |
---|---|
Former Name | JAMIE DRUCKENMILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051500) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA2122) |
363AS0400X Physician Assistant, Surgical (Licence: PA MA051500) | |
Enumeration Date | 2006-08-27 |
Last Update Date | 2016-11-04 |