| NPI | 1083051239 |
|---|---|
| Former Name | ELIZA WELD GARDINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301501150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-255575) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-06-16 |