| NPI | 1548719073 |
|---|---|
| Former Name | ELLEN BOBICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11834) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005118) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-01-22 |