| NPI | 1396294088 |
|---|---|
| Former Name | CAROLINE BRESKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 4692) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 4692) |
| 363A00000X Physician Assistant (Licence: FL PA9109762) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2024-01-17 |