NPI | 1134783798 |
---|---|
Former Name | CHRISTINE CONNOLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 104759) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022039068) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-29 |
Last Update Date | 2025-07-14 |