NPI | 1093999302 |
---|---|
Former Name | BETH LEA URBONAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 047367) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 47367) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2012-05-03 |