NPI | 1376705624 |
---|---|
Former Name | REBECCA S KRISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2011010500) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116020745) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KS 9407798) | |
Enumeration Date | 2008-06-27 |
Last Update Date | 2011-11-05 |