NPI | 1013019892 |
---|---|
Other Name | MARISEL SANTIAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0009135) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 10609) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2022-08-19 |