NPI | 1548581283 |
---|---|
Former Name | STEPHANIE GALICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1014520) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17260) |
208000000X Pediatrics (Licence: MA 1014520) | |
208000000X Pediatrics (Licence: RI MD17260) | |
Enumeration Date | 2010-06-17 |
Last Update Date | 2024-10-18 |