NPI | 1194288720 |
---|---|
Former Name | ADRIANA MARIA LEDESMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601008980) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601008980) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2023-03-22 |