NPI | 1215241153 |
---|---|
Former Name | POOJA UDAY VAIDYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055008) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014136) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2020-09-24 |