| NPI | 1568489482 |
|---|---|
| Former Name | LAURA GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA01967) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA 01967) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-10-13 |