NPI | 1982934709 |
---|---|
Former Name | MICHELLE ESPIRITU TABLADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A110098) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 254690) |
208000000X Pediatrics (Licence: TX N8057) | |
Enumeration Date | 2009-12-29 |
Last Update Date | 2014-03-04 |