| 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 |