NPI | 1295944437 |
---|---|
Former Name | MA ANGELICA EUGENIO PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 1227) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2497) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-02-24 |