NPI | 1679953640 |
---|---|
Former Name | MARY FRANCES MACLEOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0063133) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101021903) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2023-12-01 |