NPI | 1891072427 |
---|---|
Former Name | CHRISTINA GAIL DORELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 256749) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MA 256749) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2020-11-04 |