NPI | 1689326274 |
---|---|
Former Name | VICTORIA MARIE RAMIREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17426) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL 9115422) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2024-09-26 |