NPI | 1033440102 |
---|---|
Former Name | MONIQUE A MAYO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10010893) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C1-0010893) |
208000000X Pediatrics (Licence: CA A109709) | |
Enumeration Date | 2010-01-28 |
Last Update Date | 2019-10-09 |