NPI | 1184630923 |
---|---|
Former Name | MARIA TROGRANCIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-002598) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002598) |
363AS0400X Physician Assistant, Surgical (Licence: MD C03815) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2012-03-19 |