| NPI | 1154613735 |
|---|---|
| Other Name | LIS CAROL CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q0413) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 64163) |
| 207Q00000X Family Medicine (Licence: MI 4301098212) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-09-06 |