| NPI | 1316067150 |
|---|---|
| Former Name | VIRGINIA ENGELKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL PA9105484) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105484) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2026-07-01 |