| NPI | 1164666962 |
|---|---|
| Former Name | CLARISSA ISABELLE RAMIREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8648) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104959) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104959) | |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 8648) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-10-29 |