NPI | 1194767822 |
---|---|
Former Name | ROBYN L ROZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12413) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002329) |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical (Licence: FL PA9106494) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-02-06 |