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 |