NPI | 1225676737 |
---|---|
Former Name | IVELINA NEDELCHEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61850) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024791) |
Enumeration Date | 2019-12-16 |
Last Update Date | 2024-11-14 |