| 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 |