| NPI | 1710948450 |
|---|---|
| Other Name | LIANA LOURDES PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A67841) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA pa18166) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-04-22 |