| NPI | 1043387731 |
|---|---|
| Former Name | GINA MARIA GUILLEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04954) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1074241) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-12-09 |