NPI | 1790011922 |
---|---|
Former Name | MONICA HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1702) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 16731) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2021-04-21 |