NPI | 1467085191 |
---|---|
Former Name | REBECCA MONIQUE PACHECO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA63786) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AM0700X Physician Assistant, Medical (Licence: AZ 8130) | |
Enumeration Date | 2020-02-21 |
Last Update Date | 2024-09-25 |