| NPI | 1720273295 |
|---|---|
| Other Name | REBECCA IVRY MOORE PAZDERNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK PAD A 830) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 19315) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2009-01-13 |