| NPI | 1326278920 |
|---|---|
| Former Name | ELENA ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD446573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT194897) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2022-02-15 |