| NPI | 1912018565 |
|---|---|
| Former Name | MONICA MARROQUIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 36276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD44444) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-09-05 |