| NPI | 1144543927 |
|---|---|
| Former Name | WALDA LORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105378) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105378) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2023-01-11 |