NPI | 1790127306 |
---|---|
Former Name | PRISCILLA RAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08614) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2013-07-24 |
Last Update Date | 2022-06-27 |