NPI | 1700813714 |
---|---|
Former Name | NICOLE M. LENZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-545) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA545) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-03-23 |