NPI | 1699018564 |
---|---|
Former Name | LISHA SHENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 008439) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08207) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2022-03-10 |