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 |