| NPI | 1083305775 |
|---|---|
| Former Name | MARIA ISABEL CORONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-08-20 |