| NPI | 1366488231 |
|---|---|
| Other Name | ELLEN SOFIA BASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD41072) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TN 41072) |
| 207P00000X Emergency Medicine (Licence: TN 41072) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-02-17 |