NPI | 1487124640 |
---|---|
Former Name | ADRIANA JOSEFINA MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA56596) |
Enumeration Date | 2018-11-30 |
Last Update Date | 2023-05-11 |