NPI | 1538488101 |
---|---|
Other Name | BORA SONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19789) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19789) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2021-12-09 |