| NPI | 1467982348 |
|---|---|
| Former Name | REBECCA TRETIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009423) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 020830) |
| 363AM0700X Physician Assistant Medical (Licence: CA 56506) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-01-30 |