| NPI | 1346520681 |
|---|---|
| Former Name | ARA MARIE AVECILLA QUELIZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 1209) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 1209) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2020-08-11 |