NPI | 1376288647 |
---|---|
Former Name | XENIA LEVITSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61529) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-05-02 |
Last Update Date | 2024-06-21 |