| NPI | 1609305846 |
|---|---|
| Former Name | MARY HERMIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301502823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301113060) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2021-01-13 |