NPI | 1003809211 |
---|---|
Former Name | LEA A BONIFACIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 203321) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301084897) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ MA73968) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 40150) | |
Enumeration Date | 2005-08-24 |
Last Update Date | 2015-12-07 |