NPI | 1619151610 |
---|---|
Former Name | ANEESHA HANAN COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4842) |
Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 5471496) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2021-09-14 |