NPI | 1477134021 |
---|---|
Other Name | JOLYSA GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0073322) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5151015018) |
Enumeration Date | 2021-04-15 |
Last Update Date | 2024-05-20 |