| 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 |