NPI | 1225388051 |
---|---|
Former Name | TRICIA NORMA SANABRIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1918) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015875) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2022-02-24 |