NPI | 1285943654 |
---|---|
Former Name | KATRINA ARMIDA CARDENAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4738) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4738) |
363AS0400X Physician Assistant, Surgical (Licence: AZ 4738) | |
Enumeration Date | 2010-10-01 |
Last Update Date | 2024-05-07 |