| NPI | 1174172316 |
|---|---|
| Former Name | AHJAINENE TIAHNA HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004016A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA196245) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-01-30 |