| NPI | 1407196140 |
|---|---|
| Former Name | CHRISTINE LEA BOTTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A115776) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA a115776) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2016-10-19 |