| NPI | 1881763225 |
|---|---|
| Former Name | WENDY ANABEL SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 145082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052014) |
| 363A00000X Physician Assistant (Licence: MA 1719) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-01-22 |