NPI | 1255356051 |
---|---|
Former Name | BROOKE C WROCZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052225) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052225) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2025-02-19 |