NPI | 1376856450 |
---|---|
Former Name | ALICIA ANNE DEMARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A125973) |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MI 4301096559) |
208000000X Pediatrics (Licence: MI 4301096559) | |
Enumeration Date | 2010-07-19 |
Last Update Date | 2018-08-30 |