NPI | 1306251186 |
---|---|
Former Name | ANNA LOSINSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 5052) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-06-30 |
Last Update Date | 2021-01-20 |