NPI | 1851692388 |
---|---|
Former Name | REEMA M RAYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106443) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4753) |
363AM0700X Physician Assistant, Medical (Licence: FL PA9106443) | |
Enumeration Date | 2010-11-15 |
Last Update Date | 2023-07-05 |