| NPI | 1912542945 |
|---|---|
| Former Name | ISABELA ANA UGARTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061271) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MU5682770) |
| 363A00000X Physician Assistant (Licence: PA OA005085) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-02-25 |