| NPI | 1114228517 |
|---|---|
| Former Name | CARLA CORDOVA-EDUAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1241) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1241) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2024-10-01 |