| NPI | 1619228632 |
|---|---|
| Former Name | ANGELA MARIE GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06033) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA06565) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-06033) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2022-02-17 |