NPI | 1689253403 |
---|---|
Other Name | CAROLINA FONSECA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A196003) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: MI 4351047788) | |
Enumeration Date | 2021-04-07 |
Last Update Date | 2025-08-05 |