NPI | 1417196007 |
---|---|
Former Name | LANA MICHELLE TOBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 051072) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2012-07-05 |