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 |