NPI | 1811233877 |
---|---|
Former Name | TAMARA ACIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6846) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106999) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2025-06-02 |