| NPI | 1316154875 |
|---|---|
| Former Name | IVELISSE DEL CARMEN SANTIAGO-COLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX G9042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX G9042) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-11-12 |