NPI | 1386173524 |
---|---|
Former Name | ANNA GRACE ADAMCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61252446) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-10 |
Last Update Date | 2023-05-12 |