NPI | 1225286149 |
---|---|
Former Name | AMELA VRTAGIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10894) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IA 001945) |
363AS0400X Physician Assistant, Surgical (Licence: MN 10894) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2020-08-21 |