| NPI | 1366811713 |
|---|---|
| Former Name | DANA LABUSKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057800) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057800) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2021-01-09 |