| NPI | 1306847728 |
|---|---|
| Former Name | NAOMIE DE LA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16975) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16975) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-03-26 |