| NPI | 1306496294 |
|---|---|
| Former Name | ANGELICA CHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061029) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-09-14 |