| NPI | 1316411713 |
|---|---|
| Former Name | NICOLE ALYSE ZBICIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00625200) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00625200) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-08739) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2023-08-07 |