| NPI | 1821298332 |
|---|---|
| Former Name | MARIEL J MEDINA-COLLAZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N4582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 26378r) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2011-05-13 |