NPI | 1538673231 |
---|---|
Former Name | ANNE DOMBROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2017-11-17 |
Last Update Date | 2024-11-14 |