NPI | 1710954946 |
---|---|
Former Name | MARTA BLANDYNA ZAPATA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3109) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2023-08-14 |