| NPI | 1073865804 |
|---|---|
| Former Name | SERENA HAFFNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106751) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT9106751) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2024-07-17 |