NPI | 1205469723 |
---|---|
Former Name | EMILIA M RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002897A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002897) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2023-10-10 |