| NPI | 1942745112 |
|---|---|
| Former Name | ANDREA JURKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1151) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61409673) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2025-04-27 |