NPI | 1366786386 |
---|---|
Former Name | REBECCA SUE PEDROZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05389) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 22559) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-09-28 |