| NPI | 1427453836 |
|---|---|
| Former Name | JAN MARIE DUBENSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09358) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-09-05 |