NPI | 1295903326 |
---|---|
Former Name | JANKI PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005485) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1853) |
363A00000X Physician Assistant (Licence: MN 11273) | |
Enumeration Date | 2008-02-11 |
Last Update Date | 2024-08-03 |