| NPI | 1447246780 |
|---|---|
| Former Name | DONICA J BRAVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7390) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1259) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2019-12-09 |