NPI | 1073016861 |
---|---|
Former Name | EMILY JANE POLIDORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 309948) |
Enumeration Date | 2018-03-17 |
Last Update Date | 2024-03-01 |