NPI | 1205860988 |
---|---|
Former Name | PHUC KRIS TON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA17363) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA17363) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2016-08-25 |