NPI | 1184691487 |
---|---|
Former Name | RUBY ANN CAYCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME100409) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME100409) |
208000000X Pediatrics (Licence: PA MD071375L) | |
Enumeration Date | 2006-03-06 |
Last Update Date | 2023-10-30 |