NPI | 1659690485 |
---|---|
Former Name | ALEXIS CHRISTINE SANTIAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 270313) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270313) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2024-04-10 |