NPI | 1144617788 |
---|---|
Former Name | SANDY MARIE AIKARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2018033141) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036137325) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2024-09-25 |