| NPI | 1316246531 |
|---|---|
| Former Name | DAISY GRACIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A141908) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2018-10-05 |