| NPI | 1598061665 |
|---|---|
| Former Name | MONIQUE MANCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003672A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 21518) |
| 363A00000X Physician Assistant (Licence: IA 112970) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2024-03-26 |