Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN1034111 | DC |
NPI | 1023408846 |
---|---|
Provider Name | Gabriela Santamaria |
First Address | Falls Church, VA 22044-2851 |
Second Address | Washington, DC 20009-2627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2015 |
Last Update Date | 01/02/2015 |