NPI | 1750417655 |
---|---|
Former Name | MICHELLE TANG DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301501339) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-221084) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-02-16 |