NPI | 1992004741 |
---|---|
Former Name | ERIN ELIZABETH MACKINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD60453943) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60453943) |
Enumeration Date | 2011-03-19 |
Last Update Date | 2020-09-22 |