| NPI | 1972626109 |
|---|---|
| Former Name | AKANE CRISTINA TANAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01088948A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60215624) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-06-02 |