NPI | 1245520345 |
---|---|
Former Name | ANNA KOSMIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15914) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014710) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2024-06-25 |