NPI | 1710176052 |
---|---|
Former Name | CHRISTY M NIEMKIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001292) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DE DA-0013563) |
363AM0700X Physician Assistant, Medical (Licence: PA MA053208) | |
363AM0700X Physician Assistant, Medical (Licence: DE C5-0001292) | |
Enumeration Date | 2007-10-23 |
Last Update Date | 2024-11-06 |