| NPI | 1124214218 |
|---|---|
| Professional Name | JESSICA GUTIERREZ SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME112748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 11742 i) |
| 208000000X Pediatrics (Licence: PR 17851) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2017-10-27 |