| NPI | 1851686232 |
|---|---|
| Former Name | VALERIE LYNN RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-05-13 |