| NPI | 1801016472 | 
|---|---|
| Former Name | TIGIST ZEWGE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10666)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10000930A)  | 
| Enumeration Date | 2007-04-26 | 
| Last Update Date | 2022-10-25 |