NPI | 1003585324 |
---|---|
Former Name | MAYA SINANOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9114920) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114920) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2023-02-28 |