NPI | 1508521915 |
---|---|
Former Name | DANA RIBACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA063246) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-11-02 |
Last Update Date | 2024-12-05 |