NPI | 1003130402 |
---|---|
Former Name | AILEEN ELIZABETH WAWRZASZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110003549) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003549) |
363A00000X Physician Assistant (Licence: NY 013890) | |
363AS0400X Physician Assistant, Surgical (Licence: SC 2508) | |
363A00000X Physician Assistant (Licence: TN PA2523) | |
Enumeration Date | 2010-03-15 |
Last Update Date | 2024-01-19 |