NPI | 1093936486 |
---|---|
Former Name | BRONWYN M.B. WADDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD28390) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A96638) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2008-08-06 |