NPI | 1639274285 |
---|---|
Former Name | CHRISTINA MYGDAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 39388) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 39388) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2015-02-24 |