NPI | 1720016702 |
---|---|
Former Name | CORINNE ANDRIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA55281) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052404) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2023-11-27 |