NPI | 1760673305 |
---|---|
Former Name | ADRIENNE GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0007421) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05167) |
363AM0700X Physician Assistant, Medical (Licence: TX PA05167) | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2023-08-29 |