| NPI | 1457189409 |
|---|---|
| Former Name | HANNAH VAKHOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9119367) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-10-29 |