NPI | 1013064427 |
---|---|
Former Name | JUDY SHAUCHIN WU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6137) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02684) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2012-06-25 |