| NPI | 1598215048 |
|---|---|
| Former Name | MIKALA GUADALUPE MEJIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-722) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-112) | |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2021-06-11 |