| NPI | 1710961511 |
|---|---|
| Former Name | LISA MICHELLE AGUIRRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 31043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 4093) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-03-11 |