| NPI | 1669633012 |
|---|---|
| Former Name | MARIE BONTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C167351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C167351) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-04-13 |