NPI | 1962698266 |
---|---|
Other Name | JULIA ELYSE GODLESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03451) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA05372) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2018-11-13 |