NPI | 1629321468 |
---|---|
Former Name | RAINA LUTHRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9656) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03812) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2025-05-05 |