| NPI | 1376893834 |
|---|---|
| Former Name | REBECCA MICHELLE ZITNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2320) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA.851) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-07-27 |