| NPI | 1598726978 |
|---|---|
| Former Name | IWONA M BANGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0000856) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MD C00856) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-05-24 |