| NPI | 1053070300 |
|---|---|
| Former Name | TANYA PATRICIA HERRERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15412) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX student) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-07-15 |