| NPI | 1467085191 |
|---|---|
| Former Name | REBECCA MONIQUE PACHECO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 8130) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-10-14 |