NPI | 1841911443 |
---|---|
Other Name | KATIE MICHELLE PASTRANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9116510) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-08-16 |