NPI | 1568870988 |
---|---|
Former Name | MEGAN MARIE ALATORRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6806) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51755) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2020-04-06 |