NPI | 1912993049 |
---|---|
Former Name | CAROLINE LEE SISOLA GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 49726) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA 32474) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2013-03-26 |