| NPI | 1902066384 |
|---|---|
| Former Name | ABIAGLE E JEFFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10464) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2318) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-08-30 |