| 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 |