| NPI | 1699259549 |
|---|---|
| Former Name | EDOM B ZELELEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006971) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031554) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-01-01 |