NPI | 1649462383 |
---|---|
Professional Name | IRMA ACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60688495) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 19284) |
363AM0700X Physician Assistant, Medical (Licence: UT 71184581206) | |
Enumeration Date | 2007-08-16 |
Last Update Date | 2016-11-17 |