NPI | 1366938342 |
---|---|
Former Name | CHOLE N CUNIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14339) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA59197) |
Enumeration Date | 2018-07-02 |
Last Update Date | 2023-05-31 |