NPI | 1154384451 |
---|---|
Former Name | CHRISTINE LEE TINKHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D0051558) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0051558) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2007-07-08 |