| NPI | 1538715057 |
|---|---|
| Former Name | TIA GIALUONG LA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00831300) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: OH 50.008686RX) | |
| 363A00000X Physician Assistant (Licence: NY 031788-01) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA063818) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA006188) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-09-26 |