| NPI | 1598149213 |
|---|---|
| Former Name | MARIE KATRINA LEONIN TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 081623) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT209530) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-03-27 |