| NPI | 1730662982 |
|---|---|
| Former Name | RANDI L FABSITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5541-23) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-04-28 |