| NPI | 1174831168 |
|---|---|
| Former Name | KATHYA M VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.133054) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.058223) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2023-01-05 |