| NPI | 1306870415 |
|---|---|
| Former Name | MARIA THERESA DOLENDO ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301081064) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301081064) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-05-03 |