| NPI | 1790177913 |
|---|---|
| Former Name | JANET M KOVALASKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3490) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001804A) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2022-05-04 |