NPI | 1730480153 |
---|---|
Former Name | SANELA NOVAKOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60188654) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60188654) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2016-11-08 |