NPI | 1407188816 |
---|---|
Former Name | NATASCHA RIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06532) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1088764) |
363AS0400X Physician Assistant, Surgical (Licence: TX PA06532) | |
Enumeration Date | 2010-02-10 |
Last Update Date | 2022-12-28 |