NPI | 1033296215 |
---|---|
Former Name | TANSYLA DONORA KEELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL me101521) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83966) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-12-09 |