Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD2012-0782 | NM |
N | 208000000X | Pediatrician | N6645 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | N6645 | TX |
NPI | 1285806448 |
---|---|
Provider Name | Dr. Christina Efthimiadis Seeley |
First Address | Santa Fe, NM 87505-2101 |
Second Address | Santa Fe, NM 87505-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 14/11/2012 |