NPI | 1770950305 |
---|---|
Former Name | ANGELICA RAMIREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA11392) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05899) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2024-04-29 |