| NPI | 1174043517 |
|---|---|
| Former Name | MARIA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD200596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11056) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |