| NPI | 1164145082 |
|---|---|
| Former Name | OLIVIA PAIGE ROTENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 2111) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-11-09 |