| NPI | 1629332242 |
|---|---|
| Former Name | MEGAN E BOBIANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111158) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 4417) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-04-17 |