| NPI | 1518497338 |
|---|---|
| Former Name | LAURETTA ACHA AMBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059047) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001242) |
| 363A00000X Physician Assistant (Licence: MO PA200001242) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-04-04 |