| NPI | 1538533104 |
|---|---|
| Former Name | DARA DANIELLE VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TX PA10112) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10112) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-06-03 |