NPI | 1407380173 |
---|---|
Former Name | ROSSEMARY DE LA CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T6869) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T6869) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-02-09 |