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 |