NPI | 1164184792 |
---|---|
Former Name | YULIYA HARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60208) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-10-11 |
Last Update Date | 2024-01-17 |