| NPI | 1508398785 |
|---|---|
| Former Name | MONICA MATTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A157226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1013378) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-09-03 |