| NPI | 1205842861 |
|---|---|
| Former Name | MONICA WANZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004809) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA003045L) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA003045L) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA004809) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-11-02 |