NPI | 1356468516 |
---|---|
Former Name | MERI STOKOLOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058765) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003244) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2017-02-21 |