| 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 |