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 |