Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 29254 | AL |
N | 2080P0203X | Pediatric Critical Care Doctor | C2-0004112 | DE |
N | 2080P0203X | Pediatric Critical Care Doctor | TRAINING LICENSE | NJ |
NPI | 1245492453 |
---|---|
Provider Name | Dr. Cristina Elena Gavrilita |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2008 |
Last Update Date | 12/05/2015 |