| NPI | 1235144932 |
|---|---|
| Former Name | RHENA MARIALIZA RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME101279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 48432-020) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-01-16 |