NPI | 1821272576 |
---|---|
Former Name | ALIA MARIE IQBAL DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: VA 0101233010) |
Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NC 2012-00320) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2014-02-03 |