| NPI | 1194951764 |
|---|---|
| Former Name | MARGARET ELLIS MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA 046620) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: SC 31692) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-05-26 |