NPI | 1881128304 |
---|---|
Former Name | MARY ELIZABETH BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 291474) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 291474) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2025-07-08 |