| NPI | 1528343555 |
|---|---|
| Former Name | CONSTANCE ESTIPONA DARUTHAYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58551) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 58551) |
| 363A00000X Physician Assistant (Licence: WA PA60198953) | |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2025-12-19 |