NPI | 1992012710 |
---|---|
Former Name | AUBREY LYNN GERHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0636) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002142) |
363A00000X Physician Assistant (Licence: SD 0817) | |
Enumeration Date | 2010-09-01 |
Last Update Date | 2024-02-16 |