| NPI | 1245412204 |
|---|---|
| Former Name | AUDREY K BRESTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 002089) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003069) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-08-22 |