| NPI | 1588049639 |
|---|---|
| Former Name | NICOLE OSHANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007367) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-13779) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-07-15 |