NPI | 1164785358 |
---|---|
Former Name | BETTINA JOI ISAAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0090434) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD046475) |
208000000X Pediatrics (Licence: VA 0116024643) | |
208000000X Pediatrics (Licence: MI 4301108242) | |
208000000X Pediatrics (Licence: MI 5315072651) | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2024-05-24 |