| NPI | 1457753816 |
|---|---|
| Former Name | ABBY MARIE PEKRUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9477) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1549) |
| 363A00000X Physician Assistant (Licence: OH 50.004087) | |
| 363A00000X Physician Assistant (Licence: NC 0010-05746) | |
| 363A00000X Physician Assistant (Licence: TN 3095) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-11-19 |