| NPI | 1114669140 |
|---|---|
| Former Name | RAQUEL ITA FRANCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 845PA) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113995) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-10-28 |