NPI | 1205187234 |
---|---|
Former Name | GISELLE LIE-TEN-SOENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL pa9106643) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2022-12-19 |