NPI | 1417304981 |
---|---|
Former Name | KRISTINA JOY PESCOSOLIDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53204) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39422) |
Enumeration Date | 2016-05-15 |
Last Update Date | 2023-05-01 |