| NPI | 1790295715 |
|---|---|
| Former Name | INDRE STASIUNAITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-005957) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0110-005957) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-06 |