NPI | 1194192062 |
---|---|
Former Name | JAMI L CYNECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109793) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2021-10-13 |