| NPI | 1114957198 |
|---|---|
| Former Name | MARINA MONTSERRAT SHEPHERDSON-SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1827-023) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-03-31 |