NPI | 1699077743 |
---|---|
Former Name | ANGELA M SCZYPTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1610) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2010-11-23 |
Last Update Date | 2020-10-22 |