NPI | 1932669819 |
---|---|
Former Name | ADRIEN WILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3172) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 3172) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2021-05-10 |