NPI | 1225302854 |
---|---|
Former Name | ENTELA CANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50000835) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055416) |
363A00000X Physician Assistant | |
Enumeration Date | 2012-02-29 |
Last Update Date | 2017-11-15 |