NPI | 1710321617 |
---|---|
Former Name | NICOLE DEJESUS-BRUGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL ME145948) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2024-08-16 |