| NPI | 1992387245 |
|---|---|
| Former Name | ABIGAIL AMANDA LTSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V0070) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10074690) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-07-05 |