NPI | 1154471514 |
---|---|
Former Name | JUDY T VO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18500) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA18500) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2018-05-01 |