| NPI | 1184828964 |
|---|---|
| Former Name | MARIA AGUSTINA REGIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A101548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301083835) |
| 207Q00000X Family Medicine (Licence: HI MD-15277) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-08-19 |