NPI | 1639286263 |
---|---|
Former Name | FATMA DENICHOLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A063529) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2006-0086) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2023-05-30 |