NPI | 1508105107 |
---|---|
Former Name | ELIZABETH O'RIELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.016318) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-02-04 |
Last Update Date | 2023-07-25 |