NPI | 1215223847 |
---|---|
Former Name | MICHELLE M MAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA 4446) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IA 4446) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IA 04446) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2024-04-29 |