NPI | 1265578751 |
---|---|
Former Name | ARMISA CULANCULAN TONGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO R1J85) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0422532) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |