NPI | 1447745104 |
---|---|
Former Name | VICTORIA BARIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12073) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-06-26 |
Last Update Date | 2024-08-22 |