NPI | 1639350036 |
---|---|
Former Name | TERESA A LIZARRAGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX P0043) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P0043) | |
Enumeration Date | 2007-11-14 |
Last Update Date | 2015-09-28 |