NPI | 1881285203 |
---|---|
Former Name | SAMAR ABDELJABBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61339658) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61339658) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-01-28 |
Last Update Date | 2022-11-18 |