NPI | 1811458953 |
---|---|
Former Name | EMILY ERIN O'MARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 1014058) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014058) |
208000000X Pediatrics (Licence: MA 1014058) | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2023-07-09 |