| NPI | 1295073815 |
|---|---|
| Former Name | NICOLE BUDJENSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58322) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107158) |
| 363A00000X Physician Assistant (Licence: WA PA60671158) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2022-02-16 |