NPI | 1033196571 |
---|---|
Former Name | TINA R HASROUNI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117754) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-001637) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2024-09-17 |