| NPI | 1366683849 |
|---|---|
| Former Name | OLYMPIA C VEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2376) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 12649859-1206) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2023-08-31 |