| NPI | 1124520952 |
|---|---|
| Former Name | MARIA CHRISTINE BOTKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01024) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01024) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-11-28 |