NPI | 1225179310 |
---|---|
Former Name | CHERRY ROSE NERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16129) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA16129) |
363AS0400X Physician Assistant, Surgical (Licence: CA PA16129) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2022-06-21 |