NPI | 1225712565 |
---|---|
Former Name | MELISSA CARIDAD SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA Y5329298) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |