NPI | 1730200122 |
---|---|
Former Name | MORGINA JULIETTE PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0001559) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10003563) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-07-09 |