| NPI | 1912216722 |
|---|---|
| Former Name | JULIE M GAYDASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05322) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004339) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-02-24 |