NPI | 1982678009 |
---|---|
Former Name | CAROL MARIE FERRUA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101239601) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G082326) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2020-09-24 |