| NPI | 1972384535 |
|---|---|
| Former Name | MEDINA METJAIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119959) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 030831) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-07-02 |