| NPI | 1376067371 |
|---|---|
| Former Name | KATARINA ROBERTS SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201706702NP-PP) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2023-10-20 |