NPI | 1962460576 |
---|---|
Former Name | HEATHER KRZEMINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10005048) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA16552) |
363A00000X Physician Assistant (Licence: OR PA153773) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2017-03-06 |