NPI | 1235634791 |
---|---|
Former Name | JULIE GRACE GIANAKON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2018022087) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9409683) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-06-16 |