| 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 |