NPI | 1366965071 |
---|---|
Former Name | CHANDRA CELESTINA SARTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3309) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-05-07 |