NPI | 1316194434 |
---|---|
Former Name | LOREEN BARLIN TAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A118220) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD434760) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2020-05-28 |