NPI | 1366228512 |
---|---|
Former Name | ABBY LAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14751) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7609) |
Enumeration Date | 2023-09-05 |
Last Update Date | 2024-03-13 |