NPI | 1104037464 |
---|---|
Former Name | LORI JO MARKOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004693) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601004018) |
363A00000X Physician Assistant (Licence: MD C04986) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2018-11-13 |