NPI | 1821560491 |
---|---|
Former Name | MARIA MARGARET RODAITIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA064867) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 50.005694RX) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MA064867) | |
363A00000X Physician Assistant (Licence: OH 50.005694RX) | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2018-12-20 |
Last Update Date | 2024-04-01 |