| NPI | 1194808923 |
|---|---|
| Former Name | JUDITH ADELA MENJIVAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G058720) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G58720) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-10-29 |