NPI | 1740202894 |
---|---|
Former Name | CARLEEN M STRANSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1896-023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002484) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2022-11-16 |