NPI | 1114118478 |
---|---|
Former Name | EDITH MICHELLE MORALES-QUILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME118862) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A108900) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2019-07-05 |