| NPI | 1174993463 |
|---|---|
| Former Name | DARIA ELIZABETH KANEVSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA227954) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-1300) |
| 363A00000X Physician Assistant (Licence: WA PA.61532103) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-10-03 |