NPI | 1548833882 |
---|---|
Former Name | HAILEY KHOURI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2829) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV PA2829) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2024-05-23 |