NPI | 1508002981 |
---|---|
Other Name | MESA LEVENTHAL BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0039907) |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NM MD2013-0585) |
Enumeration Date | 2009-01-06 |
Last Update Date | 2013-10-08 |