NPI | 1124278841 |
---|---|
Former Name | JAMIE C CZARNECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-09-30 |
Last Update Date | 2022-03-10 |