| NPI | 1639435266 |
|---|---|
| Former Name | ELIZABETH MIRDZA SPERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: AZ 70495) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX Q8796) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-07-31 |