| NPI | 1720056229 |
|---|---|
| Former Name | ANDREA IRENE BREZILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085003364) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 96001592) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-06-17 |