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 |