| 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 |