NPI | 1992331847 |
---|---|
Former Name | JOANE STRYSZOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007777) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-03-22 |
Last Update Date | 2022-03-18 |