| NPI | 1760805329 |
|---|---|
| Former Name | SAURA SHANAKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OK 2372) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2372) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 2372) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2019-04-08 |