NPI | 1306114921 |
---|---|
Former Name | RIMA ASFOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA4996) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003444) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2016-08-04 |