| NPI | 1306007307 |
|---|---|
| Former Name | ELIZABETH MEZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 92066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301098747) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-09-03 |