NPI | 1033445879 |
---|---|
Former Name | CHERRYL K LAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06921) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105052) |
363AM0700X Physician Assistant, Medical (Licence: NC 0010-06921) | |
Enumeration Date | 2009-10-29 |
Last Update Date | 2021-11-01 |