| NPI | 1184866675 |
|---|---|
| Former Name | IRMA MARIANA SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-00102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2012-0350) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2021-10-01 |