NPI | 1710058813 |
---|---|
Former Name | NEYDI SALAVERRI ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 14622) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 14622) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2020-01-15 |