NPI | 1386791242 |
---|---|
Former Name | ELIZABETH BUSKIRK MARELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01016) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000044716) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2021-04-15 |