NPI | 1023646825 |
---|---|
Former Name | MARYBETH ARCEO BURRISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 261027) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 261027) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2025-03-26 |