NPI | 1912313404 |
---|---|
Former Name | HANNAH MARIE GNIZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 004012) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006962) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2023-11-03 |