NPI | 1063924181 |
---|---|
Former Name | KIARA AGUAYO LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059530) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2017-10-30 |
Last Update Date | 2018-12-13 |