NPI | 1619065968 |
---|---|
Former Name | NIALA GHALIB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA22063) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002388) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2015-05-09 |