NPI | 1932514577 |
---|---|
Former Name | MARTY ZHI JANAS MARANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007038) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601007038) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2021-03-09 |