NPI | 1366926388 |
---|---|
Former Name | MICHELLE EUNHAE YU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA55894) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-09-17 |
Last Update Date | 2021-06-04 |