| NPI | 1447900576 |
|---|---|
| Former Name | BERTHA IRENE ZELAYA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA1258100) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-04-14 |