| NPI | 1033375670 |
|---|---|
| Former Name | RISA MICHELLE SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D83736) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME124446) |
| 208000000X Pediatrics (Licence: PA MD441399) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2017-10-03 |