NPI | 1306482526 |
---|---|
Former Name | ROCHELLE SALIB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA061071) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA005022) |
Enumeration Date | 2019-11-22 |
Last Update Date | 2023-01-04 |