NPI | 1891092383 |
---|---|
Other Name | ANGELA LUO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7415) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104900) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2019-11-05 |