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 |