| NPI | 1124589262 |
|---|---|
| Former Name | NATALIE MARIE PLASCENCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 11504426-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2020-11-17 |