NPI | 1720540420 |
---|---|
Former Name | KHUSHBU ATUL DESAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58477) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-04-02 |
Last Update Date | 2022-12-22 |