| NPI | 1114205572 |
|---|---|
| Former Name | LAURA ESPERANZA PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001310A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99048212A) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2024-11-06 |