| NPI | 1164643805 |
|---|---|
| Former Name | YIDRISCA MARIA VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052925) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002249) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-09-15 |