NPI | 1669754511 |
---|---|
Former Name | ANDREA MARIE TUREK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005028) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4968) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2018-12-03 |