NPI | 1558635284 |
---|---|
Former Name | DHRUTI PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00279000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00279000) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2024-06-21 |