NPI | 1144893892 |
---|---|
Former Name | JANAN FADI JARAYSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL 9120028) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL 2027) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-07-21 |
Last Update Date | 2025-06-04 |