NPI | 1407143993 |
---|---|
Other Name | NOELLA SHADZEKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA064260) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C04491) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2025-03-06 |