| NPI | 1538560511 |
|---|---|
| Former Name | CHRISTEN JOANNE CZARNECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108137) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9108137) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-03-31 |