| NPI | 1538263645 |
|---|---|
| Former Name | PENNY LYNN FLEEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1724) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-12-12 |