NPI | 1629139670 |
---|---|
Former Name | RENEE V. HARZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04392) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18633) |
363A00000X Physician Assistant (Licence: WA PA60150098) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2013-09-30 |