NPI | 1710316518 |
---|---|
Former Name | YESSENIA ILENE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08755) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2013-11-02 |
Last Update Date | 2014-10-06 |