NPI | 1265414353 |
---|---|
Former Name | MA. TERESITA CARANGAL DELA ROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME70012) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA C52090) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2013-11-13 |