NPI | 1528558368 |
---|---|
Former Name | CRISTINA B. LEIVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 42965) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276142) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2021-12-14 |