| NPI | 1932524881 |
|---|---|
| Former Name | MARTA M KOWALIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111264) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006250) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA056748) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2018-07-09 |