NPI | 1609096148 |
---|---|
Former Name | CHRISTI LEE CAZALAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 47922) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 30158) |
208000000X Pediatrics (Licence: TN 47922) | |
207R00000X Internal Medicine (Licence: AL 30158) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2024-05-14 |