NPI | 1568271245 |
---|---|
Former Name | NATALIA KORYO NARH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA221371) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61635113) |
Enumeration Date | 2025-01-06 |
Last Update Date | 2025-01-06 |