| NPI | 1588083323 |
|---|---|
| Former Name | ELIZABETH ROSE DORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 294017) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-08-23 |