NPI | 1356844468 |
---|---|
Former Name | VERONICA CHRISTINE VASSILEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006190) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-03-15 |
Last Update Date | 2024-04-09 |