| NPI | 1003632811 |
|---|---|
| Former Name | REGAN TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |