| NPI | 1992997217 | 
|---|---|
| Professional Name | MARY JEFFERVESCENT MATINING CAPARAS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17154) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ PA3454) | 
| Enumeration Date | 2007-08-10 | 
| Last Update Date | 2022-12-06 |