| NPI | 1174511851 |
|---|---|
| Former Name | GINA J UGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IL 085.003394) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: KY PA794) |
| 363AM0700X Physician Assistant Medical (Licence: IN 10000651A) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2019-10-23 |