NPI | 1871152579 |
---|---|
Former Name | SHERYL A. PAWLIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4740) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 4740) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2024-10-09 |