| NPI | 1982197752 |
|---|---|
| Former Name | JACQUELINE MARIE HROBAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001227) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-12-03 |