| NPI | 1205280856 |
|---|---|
| Former Name | ELYSSA RACHEL BRENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.137098) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-07-27 |