| NPI | 1316292337 |
|---|---|
| Former Name | LILA CHAHROUDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05061) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22394) |
| 363AM0700X Physician Assistant Medical (Licence: CA PA22394) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2022-02-07 |