| NPI | 1124187984 |
|---|---|
| Former Name | MARY C MCGILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 21199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 21119) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-10-11 |