| NPI | 1245290394 |
|---|---|
| Former Name | SONYA JUSTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: ME PA001140) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MA AP1899) |
| 363AM0700X Physician Assistant Medical (Licence: NH 0783) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-12-27 |