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 |