NPI | 1861488140 |
---|---|
Former Name | RINA PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MN 10902) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA20882) |
363AS0400X Physician Assistant, Surgical (Licence: DE C50000486) | |
363AS0400X Physician Assistant, Surgical (Licence: MI 5601005074) | |
Enumeration Date | 2005-09-22 |
Last Update Date | 2014-12-10 |