| NPI | 1033984505 |
|---|---|
| Former Name | KATIE MICHELLE DZOBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC PA5110) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 5110) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-09-02 |