NPI | 1316075559 |
---|---|
Former Name | KYLA NICHELLE WIAFE-ABABIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-128969) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036-128969) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-09-29 |