NPI | 1023309374 |
---|---|
Former Name | ELIZABETH TYLER EMRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 40827) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 72213) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2021-05-19 |