NPI | 1851022107 |
---|---|
Other Name | BRENDA RENTERIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2663) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-12-05 |