| NPI | 1629493713 |
|---|---|
| Professional Name | DEIDRE BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 28047) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA BB4317459) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |