NPI | 1073896577 |
---|---|
Former Name | KARIN LEWANDOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006170) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601006170) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2019-12-12 |