| NPI | 1518129790 |
|---|---|
| Former Name | ANNA LEE DESISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A125761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60149260) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2015-01-02 |