NPI | 1215500111 |
---|---|
Professional Name | STIVALY QUEZADA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1014721) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 35284R) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2023-10-11 |