NPI | 1801916960 |
---|---|
Former Name | MARIE MILLIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 24862) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE TEP5468) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2012-10-11 |