NPI | 1689046500 |
---|---|
Other Name | CHRISTINE CHANMYAETHU GYLLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0007976) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 4551) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2022-03-09 |