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 |