| NPI | 1184046443 |
|---|---|
| Former Name | GINTARE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8854435-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 8854435-1206) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2019-09-30 |