NPI | 1639325400 |
---|---|
Former Name | NARISHA ALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13271) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 012118) |
Enumeration Date | 2008-08-13 |
Last Update Date | 2022-01-18 |