NPI | 1215445234 |
---|---|
Former Name | CHRISTINE A LENIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA66558) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 6969) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2025-08-19 |