| NPI | 1316471576 |
|---|---|
| Former Name | MICHELLE L DE LA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 227262) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-09-15 |