NPI | 1962756460 |
---|---|
Former Name | MONICA CLARE KERSCHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 3409) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 23016189) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2018-03-21 |