NPI | 1194793885 |
---|---|
Former Name | JOY CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.121478) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 20586) |
207Q00000X Family Medicine (Licence: WV 20586) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2022-07-21 |