| NPI | 1124257589 |
|---|---|
| Former Name | ANGELA GROCHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00508800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053905) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2026-01-06 |