NPI | 1629561402 |
---|---|
Former Name | EMILY L MARQUINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006283) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-06-07 |
Last Update Date | 2022-08-10 |