| NPI | 1871805309 |
|---|---|
| Other Name | NILAPHONE NOK KETTAVONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1787) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2015-05-29 |