NPI | 1801016472 |
---|---|
Former Name | TIGIST ZEWGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10666) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10000930A) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2022-10-25 |