| NPI | 1528097268 |
|---|---|
| Other Name | MARY AILEEN SANTIAGO-SUBORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2775) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301078574) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-23 |