NPI | 1639302169 |
---|---|
Other Name | CRISTY ANNET LEON HIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME105408) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME105408) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2014-10-09 |