NPI | 1790127298 |
---|---|
Other Name | JEILA KERDAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52220) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 23 016726) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2024-05-06 |