NPI | 1417333048 |
---|---|
Former Name | MUKSARIN HONGYIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60848187) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA173364) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2018-10-24 |