| NPI | 1811050602 |
|---|---|
| Former Name | CRUZ MARTINA FANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96750) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME96750) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-03-30 |