NPI | 1013345321 |
---|---|
Former Name | LEANNE RAE SZAFRANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00445800) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00079800) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT001968A) | |
Enumeration Date | 2013-10-23 |
Last Update Date | 2023-11-24 |