NPI | 1528339934 |
---|---|
Former Name | KALYN R DHROSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5184) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2012003975) |
363AS0400X Physician Assistant, Surgical (Licence: MO 2012003975) | |
Enumeration Date | 2012-01-17 |
Last Update Date | 2023-07-13 |