| NPI | 1689764862 |
|---|---|
| Former Name | MARIA CHARINA TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 201051) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.201051) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-09-28 |