NPI | 1992113989 |
---|---|
Former Name | ANNA CHRISTINE HERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0009588) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09234) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2024-09-23 |