| NPI | 1457544983 |
|---|---|
| Other Name | SUSAN KATALI WAGABAZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA16194) |
| Additional Taxonomies | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: CA RCP19999) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2023-03-07 |