| NPI | 1215151352 |
|---|---|
| Former Name | VIVIENNE AKUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00198300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10576) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 005268) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-08-16 |