| 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 |