NPI | 1093756983 |
---|---|
Former Name | SONIA SORAYA MCENTEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103712) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103712) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-04-19 |