NPI | 1700436524 |
---|---|
Former Name | EWA LESZCZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061625) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00530200) |
363A00000X Physician Assistant (Licence: CT 4550) | |
Enumeration Date | 2019-09-13 |
Last Update Date | 2024-04-09 |