| NPI | 1558391904 |
|---|---|
| Former Name | WENDY S ROSKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1492-093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002487) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-11-30 |