| NPI | 1649603663 |
|---|---|
| Former Name | STEFANIA P NIKOLOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601008281) |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-01-25 |