| NPI | 1356987697 |
|---|---|
| Former Name | JULIETTE MARELLA FAJARDO RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 347647) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-12-08 |