| NPI | 1801368907 |
|---|---|
| Former Name | ADRIENNE KOVACIK ABANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08775) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2018-12-30 |
| Last Update Date | 2021-03-30 |