NPI | 1801465125 |
---|---|
Former Name | ARIANA BOLUMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 341025) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 341025) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2025-08-07 |