NPI | 1285886168 |
---|---|
Other Name | LORENA LYNN GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: LA 08-230) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA 08-230) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2020-06-15 |