| NPI | 1104280270 |
|---|---|
| Former Name | CATHERINE MARGARET WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016019448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09123) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2017-05-19 |