| NPI | 1467085746 |
|---|---|
| Former Name | MERON GIZAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09503) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2021-09-07 |