| NPI | 1023476918 |
|---|---|
| Former Name | ROSA DEL CARMEN RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09995) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83620) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-05-31 |