| NPI | 1275751315 |
|---|---|
| Former Name | DEJA MARIE TROJAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 2076) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA 9104225) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-12-27 |