NPI | 1568409134 |
---|---|
Former Name | AMANDA BETTINE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC MD040159) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D72752) |
207R00000X Internal Medicine (Licence: OH 35.086630) | |
208000000X Pediatrics (Licence: OH 35.086630) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0072752) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2022-04-13 |