| NPI | 1598805954 |
|---|---|
| Former Name | LUISA GODOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011339) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 011339) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-11-03 |