| NPI | 1639325376 |
|---|---|
| Former Name | CHARLENE K SKUBOVIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107673) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50002517) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-12-23 |