| NPI | 1912206830 |
|---|---|
| Former Name | SYDNEY C. MANBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01315) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7820) |
| 363A00000X Physician Assistant (Licence: PA OA002616) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2021-08-10 |