NPI | 1033470075 |
---|---|
Former Name | REENA TAANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006516) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2012-06-06 |
Last Update Date | 2020-08-31 |