NPI | 1124660295 |
---|---|
Former Name | NGAWINA CHISALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57871) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-10-10 |
Last Update Date | 2023-02-23 |