| NPI | 1245693514 |
|---|---|
| Former Name | ANDREA FAZIKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD467607) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2019-09-30 |