NPI | 1831156074 |
---|---|
Former Name | PATRICIA CANINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA000768L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA00768L) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-08-10 |