NPI | 1447707740 |
---|---|
Other Name | SELENA MARIE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 23148) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 23148) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2024-03-16 |