NPI | 1922581636 |
---|---|
Former Name | MARTHA CECILIA SOMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111516) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9111516) |
Enumeration Date | 2018-09-09 |
Last Update Date | 2023-03-24 |