| NPI | 1790923621 |
|---|---|
| Former Name | DUDASH DUDASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1029) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053777) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2014-08-14 |