| NPI | 1790282887 |
|---|---|
| Former Name | MARI GOLDADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 18887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11405426-1205) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-11-04 |