| NPI | 1730149063 |
|---|---|
| Former Name | MARIA REGINA LACOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA050653) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA050653) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-08-31 |