| NPI | 1508973199 |
|---|---|
| Former Name | DOREENA A CASIAS-ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 55152) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA928) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-02-26 |