| NPI | 1417042904 |
|---|---|
| Former Name | CYNTHIA PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00756) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00756) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-06-10 |