NPI | 1730154493 |
---|---|
Former Name | ANNE-MARIE MCDONALD ETHIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX P4176) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P4176) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2021-12-09 |