| NPI | 1265149207 |
|---|---|
| Former Name | LINEIDYS GUEVARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA9096) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-11-23 |