NPI | 1457673691 |
---|---|
Former Name | HINA KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59436) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C50000872) |
363A00000X Physician Assistant | |
Enumeration Date | 2010-02-15 |
Last Update Date | 2022-09-12 |