| NPI | 1851743561 |
|---|---|
| Former Name | MIA MALIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61129329) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3392) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-06-22 |