| NPI | 1043579386 |
|---|---|
| Former Name | CRISTINA ELIZABETH FORERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 50508) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2022-07-21 |