| NPI | 1417368515 |
|---|---|
| Former Name | AGNES DOEYO SISA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.132175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.132175) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2025-06-02 |