| NPI | 1902870041 |
|---|---|
| Former Name | NICOLE T CZARNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 1046230) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 001407) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-07-05 |