| NPI | 1992370738 |
|---|---|
| Former Name | MAGEGAN KHORSAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63757) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-01-12 |