NPI | 1023066768 |
---|---|
Former Name | MARIA JOY VINLUAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA-19971) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-277) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2014-08-28 |