NPI | 1760514194 |
---|---|
Professional Name | MILDRED S DIAZ CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 9857) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 9857) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2024-03-05 |