| NPI | 1982650883 |
|---|---|
| Former Name | THERESA E MONTOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036117394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200101375) |
| 207R00000X Internal Medicine (Licence: IL 036117394) | |
| 207R00000X Internal Medicine (Licence: GA 65030) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-07-21 |