NPI | 1942347224 |
---|---|
Former Name | ELIZABETH OHARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME140630) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 42753) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2021-03-23 |