NPI | 1992370001 |
---|---|
Former Name | VIRGINIA VEREEN GITLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601012328) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2021-05-21 |
Last Update Date | 2025-05-05 |