NPI | 1275709925 |
---|---|
Former Name | RAQUEL SALDIVAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19467) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19467) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2022-02-23 |