NPI | 1700022894 |
---|---|
Former Name | SHELLEY SANTOS CANLAS BENEDICT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106335) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106335) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2024-03-27 |