| NPI | 1467712455 |
|---|---|
| Former Name | TATYANA N BOVKUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006454RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055473) |
| 363A00000X Physician Assistant (Licence: PA OA002842) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-10-30 |