NPI | 1285356782 |
---|---|
Former Name | CINDY PAJARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116166) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9116166) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2022-09-18 |