| NPI | 1205082773 |
|---|---|
| Former Name | ALISHA LYNNE BOZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053478) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01844) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2015-01-23 |