NPI | 1043226889 |
---|---|
Former Name | ILIA WAKEHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A85980) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85980) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2009-11-02 |