| NPI | 1598742595 |
|---|---|
| Former Name | REBECCA A ROSENBERG HORAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IA 01344R) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 9701) |
| 363A00000X Physician Assistant (Licence: IA 01344R) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2014-01-15 |