NPI | 1962681379 |
---|---|
Former Name | JESSICA S. TSAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002644) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002644) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2021-08-31 |