| NPI | 1699115493 |
|---|---|
| Former Name | MARI CARMEN BURGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 19321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 29321-R) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-05-30 |