| NPI | 1295065902 |
|---|---|
| Former Name | JASMINE MARIE PAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 124530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71613) |
| 208000000X Pediatrics (Licence: AL 31535) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2016-08-12 |