| NPI | 1699273532 |
|---|---|
| Former Name | MARLENE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111302) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-12-10 |