| NPI | 1497930119 |
|---|---|
| Former Name | TANYA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C53527) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 15941) |
| 208000000X Pediatrics (Licence: SC 15941) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2015-12-07 |