NPI | 1144661133 |
---|---|
Former Name | PRINCESS POKU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09273) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016675) |
Enumeration Date | 2013-07-08 |
Last Update Date | 2025-06-24 |