| NPI | 1689266371 |
|---|---|
| Former Name | EMA GONDKOVSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-05-06 |