NPI | 1205087798 |
---|---|
Former Name | QURRATULAEN KHAWAJA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006520) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012786) |
363AS0400X Physician Assistant, Surgical (Licence: TX PA08685) | |
Enumeration Date | 2008-10-02 |
Last Update Date | 2022-01-27 |