| NPI | 1790841435 |
|---|---|
| Former Name | GRACIELA RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 63709531206) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-12-15 |