| NPI | 1881714277 |
|---|---|
| Former Name | LAILA STANIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 18476) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009200) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-09-02 |