NPI | 1639362650 |
---|---|
Former Name | KRISTINE FALCON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.203118) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.203118) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2024-09-24 |