NPI | 1295938041 |
---|---|
Former Name | LUCY L ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147166) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q1253) |
207R00000X Internal Medicine (Licence: PR 17574) | |
207R00000X Internal Medicine (Licence: TX Q1253) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2021-02-10 |