NPI | 1467426056 |
---|---|
Former Name | CUYLA C MARKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53916) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA153046) |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2020-06-19 |