NPI | 1487962288 |
---|---|
Former Name | HANNAH SUH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21208) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA in the process) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2021-12-14 |