NPI | 1952733818 |
---|---|
Former Name | KSENIA RAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.004974) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA08386) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2024-03-21 |