| NPI | 1174195572 |
|---|---|
| Former Name | HANNAH GOULIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-02-07 |