NPI | 1336703461 |
---|---|
Former Name | AYESHA FALAK HUSSAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112195) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-06-14 |