NPI | 1649338096 |
---|---|
Former Name | JANET LYNN GRABOFSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1523) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102167) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-05-27 |