| NPI | 1699118364 |
|---|---|
| Former Name | KORI IMONDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 4620) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1975) |
| 363AM0700X Physician Assistant, Medical (Licence: MA 4620) | |
| 363AS0400X Physician Assistant, Surgical (Licence: MA 4620) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2023-02-21 |