NPI | 1386651420 |
---|---|
Former Name | MARILYN VINLUAN RAMIREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60019499) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004849) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2016-02-03 |