| 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 |