| 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 |