NPI | 1851996573 |
---|---|
Other Name | PETRA NICOLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58526) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA PA58526) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2023-04-26 |