| NPI | 1639574221 |
|---|---|
| Former Name | CAROL PATRICIA PINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0012081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.140477) |
| 208000000X Pediatrics (Licence: WV 30014) | |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2021-07-16 |