NPI | 1093290132 |
---|---|
Former Name | NISHA KHANAL PANTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61198230) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 2945) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2023-04-26 |