NPI | 1528399169 |
---|---|
Former Name | PATRICIA SERNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005738) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5738) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2020-11-16 |