| NPI | 1649453341 |
|---|---|
| Former Name | UMPAPAN TRAKOONTRIPOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002482) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054396) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00191300) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2018-03-29 |