NPI | 1942579735 |
---|---|
Former Name | CAROLINA M CUBA BUSTINZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35.130512) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.130512) |
208000000X Pediatrics (Licence: WI 56673-20) | |
Enumeration Date | 2011-12-22 |
Last Update Date | 2023-10-10 |