NPI | 1871546440 |
---|---|
Former Name | SULE ATAGOZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110643) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 0092921) |
363AM0700X Physician Assistant, Medical (Licence: SC 1483) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2018-09-07 |