| NPI | 1982129672 |
|---|---|
| Former Name | LAURA ANN TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2019-0004) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06537) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-01-08 |