NPI | 1053459305 |
---|---|
Former Name | REBECCA A. RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 49900) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2017-08-01 |