| NPI | 1134421100 |
|---|---|
| Former Name | REBECCA CZERNIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2697) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2697) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2023-10-06 |