| NPI | 1689695199 |
|---|---|
| Former Name | SANDRA L MOSTACCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60166404) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-07-10 |