| NPI | 1811178288 |
|---|---|
| Former Name | ELIZETH DE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-20263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N6464) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-06-03 |