| NPI | 1336131184 |
|---|---|
| Former Name | WANDA E. CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036101885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME129993) |
| 207Q00000X Family Medicine (Licence: IN 01060839A) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-01-24 |