| 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 |