| NPI | 1457322067 |
|---|---|
| Former Name | LUCIA MIRELES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A71537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 23017) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2026-03-24 |