NPI | 1770733560 |
---|---|
Former Name | MARIAN M BATTER CADE CORTEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-853) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10511) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2010-07-14 |